| NPI | 1992284665 |
|---|---|
| Former Name | JENNIFER PORTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WE0003X Registered Nurse, Emergency (Licence: TX 647990) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: TX 137629) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |